Paramedic (8A-8P) - Advanced Care at Home

Nemours Children’s Health is proud to announce the launch of the nation’s first pediatric Mobile Integrated Health (MIH) program as part of our groundbreaking Advanced Care at Home (ACaH) initiative. We are currently hiring a paramedics to join this transformative model of care, which is reshaping how pediatric healthcare is delivered.  This is a full-time (8A-8P) position in Orlando, FL.

As a MIH Paramedic, you are an integral part of a multi-disciplinary team providing advanced care in the home to patients and their caregivers. You will be responsible for providing skilled clinical services to patients in their homes under the direction of a physician or advanced practice provider.

Required Skills/Knowledge
Must have excellent interpersonal and communication skills.
Demonstrates clinical expertise, problem solving and independent decision-making skills.
Maintain skills and proficiency with the use of information technology.
Must be able to hear and communicate with others in a clear, understandable and professional manner.
Must possess a valid driver’s license and a safe, reliable vehicle that is capable of transporting reasonable amounts of equipment and supplies.

Responsibilities

Clinical

• Practices within the designated scope of practice
• Perform patient assessment and prioritize care based on assessment.
• Perform home safety assessment.
• Facilitate telehealth videos with ACaH providers and RNs, when needed.
• Assist with in-home set-up of equipment, devices, and technology, as directed by ACaH providers and RNs.
• Implement individualized patient plan of care as directed by ACaH providers and RNs.
• Continuously re-assess patient and perform advanced role skills according to standard protocols or on-line physician/provider direction.
• Distinguish between normal and abnormal findings and recognize clinical deterioration.
• Administer and monitor medications as outlined by ACaH policies and procedures within scope of practice.
• Document patient care as specified by department and hospital guidelines.
• Promote family centered care.
• Maintain proficiency in airway management
• Maintain proficiency in Peripheral IV insertion and fluid administration.
• Maintain proficiency in C-Spine restriction and splinting.
• Maintain proficiency in Needle thoracentesis.
• Maintain proficiency in Intraosseous needle placement.
• Coordinate and manage supplies and equipment in collaboration with a multidisciplinary team.
• Participate in and support research studies, evidence-based practice projects, and quality improvement initiatives.

Communication

• Maintain an open line of communication with the ACaH team throughout the patient encounter. 
• Communicate all pertinent patient information in both written and verbal form.
• Provide written and verbal report to receiving provider in an organized and timely manner.
• Complete visit documentation.

Safety

• Maintain vehicle in clean and neat working order and ensure adequate inventories of supplies; complete all equipment and safety checks as soon as possible during shift.
• Provide prompt notification of deficiencies identified during safety checks.
• Anticipate patient needs and secure proper equipment and personnel.
• Promptly communicate safety and equipment concerns per policy.

Management

• Maintain transport vehicle readiness, include cleanliness, equipment and supplies.
• Recognize recurring problems and participate in their resolution.
• Participate in ACaH data collection.
• Actively participate in patient review and performance improvement projects.
• Additional miscellaneous duties and responsibilities, as may be assigned from time to time by employee’s supervisor.

Position Requirements

• High School Diploma and graduate of an accredited paramedic program (through a professional institute or a college/university) required
• Nationally Registered Emergency Medical Technician (NREMT-P) (Required)
• American Heart Association Basic Life Support for Healthcare Provider (BLS) (Required)
  American Heart Association Pediatric Advanced Life Support (PALS) (Required)
• American Heart Association Pediatric Advanced Life Support (ACLS) (Required)
• Certifications from the State of Delaware (DE certifications prior to hire and orientation) Maryland, and Pennsylvania within first 120 Days of hire (Required)
• Specialty certification (PNCCT, CCEMTP, FP-C) (Preferred) 
• At least 1 year of ALS experience in a pre-hospital (911) or inter-facility transport program (Required)
• 2 years: At least 2 years of related experience (Preferred)